This sounds like a husband/wife imbalance.
If your patient has low back pain, tiredness, agitation, then this is the most likely problem. An H/W imbalance arises when kidney and liver collapse, usually due to some kind of chronic situation (pain, illness, emotional/relationship conflict, stress etc) and it means the sufferer finds themself stuck, unable to make decisions or move on from anything. Often, they speak of feeling in a no-win situation.
There's no harm in trying the protocol for clearing this significant block
Bl67, Ki7 and 3, Liv4, SI4 all evens for about 15 - 20 minutes. Finish with Ki24 and H7, tonification.
Do not do any other treatments at this time but ask your patient back for a follow up no more than five days after. Repeat as necessary and watch for it coming back further along - in my experience it can take a few goes to clear it completely.